Hello Colleen!
To answer your last question first, I am overwhelmed to be honest. Scared and unsure at this point. There is so much information and finding the right place to go for treatment, as well as what treatment to choose, is daunting, to say the least. My husband has a PIRADS 4, clinically significant Gleason 7 (as per his current Doctor) and his PSA is 7.7 (latest one was 6.4). He has had a CT scan, Bone Scan, PSMA Pet scan and an MRI. There is no known spreading outside of the prostate that can be seen, although his Dr told him it is possible he could have microscopic cancer cells in the lymph nodes that are undetectable. Treatment suggestion right now is 5 1/2 weeks of radiation to pelvic lymph’s then 5 day SBRT treatment to the prostate, and 6 to 12 months of hormone therapy (pill form). Sorry, I am not very good at all the technical jargon. He was seen by a urologist here in Oregon, who did the biopsy and diagnosed him originally, then sent him for the CT and Bone scan (we tried to ask for a PSMA and an MRI from this doctor but he didn’t feel they were necessary). We were told either surgery or radiation were the two options so we first researched radiation because my husband is not to keen on the surgery idea. We went to see a radiologist oncologist here in Oregon and we were not impressed. We sought a second opinion from my sister in law’s radiologist oncologist in California and we really like him. He scheduled the PSMA Pet Scan and MRI. He is the one who is recommending the treatment I stated above. My husband still is interested in the MAYO clinic however, which is why I inquired.